Protective Distraint

PBS Ref:

Client ID:

Your Ref:

I/We hereby authorise:

Parkinson Bailiff Services Ltd

of:

The Lodge to Shaw Hill,
177 Preston Road, Whittle-le-Woods, Chorley - PR6 7PR
Tel: 08450 090909 / Fax: 08450 091010
Email: admin@parkinsonbailiff.co.uk

Name of tenant:

Business type:

( if unknown please type 'unknown')

Being situated at:
(address of tenant)

Full postcode:

For the sum of:

£•p (Being arrears of rent due to the landlord)

Name of Landlord:

Payment due date:

and to proceed therein for the recovery of the said rent and costs of distress as the law directs, and for so doing, this shall be your sufficient warrant, authority and indemnification against all actions at law as well as against all costs charges or expenses which you may incur or be liable to pay by reason of your executing this warrant and hereby undertake not to hold you accountable for any goods forcibly or clandestinely removed.

Dated this:

Full name of person authorising distraint:

Name of Authority:

Address of Authority:

Full postcode:

Name:

Email:

Telephone:

Fax:

Please select the appropriate option regarding the action you wish to take;

• Immediate payment required - Cash or Bankers Draft
• Telegraphic transfer into Bailiffs Trustees Account within 24 hours
• Telegraphic transfer into Landlord/Managing Agents Account within 24 hours

Bank name:

Sort code:

Branch name:

A/C No:

• Allow days to pay - Cheque acceptable
• Allow days to pay - Bankers draft